25S.12 薛生白湿热病理论治疗COVID-19案例（含脉象分析）暨基层中医策略
TJ TCM.25(S) : 89-98, 2022
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薛生白湿热病理论治疗COVID-19 案例
（含脉象分析）暨基层中医策略
Treating COVID-19 as A Dampness Type
Febrile Disease: A Case Report with Pulse Manifestation
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林以正1*
1 东门中医诊所，台北，台湾
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【摘要】
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因为隔离政策，大多数的COVID-19（新冠肺炎）的中医治疗案例并无脉象之记载，本案例为一位会把脉的男性，在疾病的每个过程皆忠实的记录自我脉象及血氧的变化，资料完整，足以做为中医治疗新兴传染病的宝贵经验。案例在刚发病时，脉象上即呈现明显的湿热直入中下焦的现象，因而依照薛生白·湿热病篇的观点治疗。病人历经发烧、腹痛腹泻、疼痛、咳嗽带血、血氧下降、体重大幅下降，病後疲倦喘促⋯⋯。在整个过程中，并未住院，也没有使用氧气，完整地接受中医药治疗。本文将介绍案例的病程及脉象资料，并讨论基层中医面对新兴传染病，在初期如何判断发展为重症的可能性、过程援引古籍为治疗的根本、後期以筋膜张力结构及中医内科并行，作为主要的修复手段。
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【关键词】甘露消毒丹、脉象中筋膜张力、胃俞穴
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Yii-Jeng Lin1*
1East-Gate Traditional Chinese Medicine Clinic, Taipei, Taiwan
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【Summary】
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Because of the isolation policy, there are no pulse manifestations in most of the case reports of COVID-19 treated with traditional Chinese medicine. In our case report, the patient who is professional in TCM pulse detection faithfully records his own pulse and blood oxygen changes during each course of the disease. This is a valuable experience.
At the time of disease onset, the pulse manifestation showed obvious dampness and heat going directly into the middle and lower part of the body. Thus, the patient was treated under the protocols of Shengbai Xue’s dampness type febrile disease theory. The patient experienced fever, abdominal pain, diarrhea, bloody sputum, decreased blood oxygen, significant weight loss, fatigue and shortness. He was not hospitalized nor used oxygen. He received Chinese medicine treatment during the whole course. By the view of the dampness type febrile disease, we discuss the observation points of the possibility of developing severe illness in the initial stage and the treatment protocol in each course of the disease. In post-COVID stage, we concurrently used Chinese medicine and acupuncture under the theory of “the pulse manifestation of fascial tension”.
【Keywords】Gan Lu Xiao Du Dan; the pulse manifestation of fascial tension;Weishu (BL 21)
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